The N's Flashcards

1
Q

When did neurasthenia* was devised and by who?

*[NYOOR] + [UHS] + [THEE] + [NEE] + [UH]

A

term devised in 1869 by the neurologist George Beard and the psychiatrist, E.Van Deusen

During the latter part of the nineteenth century its use became widespread, and the disorder was attributed to the effects of modern industrial life.

In February 1917, when the term shell shock was outlawed by the British army, neurasthenia was employed as a pensionable diagnosis for those soldiers with chronic functional symptoms.

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2
Q

Neurasthenia* was a term used to describe…

*[NYOOR] + [UHS] + [THEE] + [NEE] + [UH]

A

to describe severe fatigue and exhaustion after minimal physical and mental effort.

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3
Q

Who came up with neurocirculatory asthenia (NCA)?

A

term introduced by US military physicians serving in the UK and France in 1918 to avoid use of the terms disordered action of the heart or effort syndrome.

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4
Q

Why the introduction of neurocirculatory asthenia (NCA)?

A

They [US military] disapproved of effort syndrome because of the implication that its symptoms were simply an exaggeration of the normal response to physical exertion. Neurocirculatory asthenia was chosen ‘because it was descriptive, noncommittal as regards to the heart, and shortened to the cryptic “NCA”’ (Oppenheimer, 1942, p. 368).

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5
Q

What is the cause of neurocirculatory asthenia (NCA)?

A

Oppenheimer and his colleagues concluded from their clinical investigations that NCA was ‘due in part at least to emotional disturbance, especially fear’ (1942, p. 379).

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6
Q

What does NYD(M) mean?

A

NYD(M) ‘not yet diagnosed (mental)’, an acronym employed in World War Two by British forces where a doctor was uncertain of the correct psychiatric diagnosis.

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7
Q

What does NYDN mean?

A

NYDN ‘not yet diagnosed nervous’, an acronym introduced by the Surgeon General of the British First Army in February 1917 to avoid use of the term shell shock.

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8
Q

What is the relationship between NYDN and NYDN centers?

A

regimental medical officers were not to use the term shell shock when evacuating men from the front. They were to be designated NYDN for specialist assessment at one of the four ‘NYDN centres’ established in forward positions. These were the first forward psychiatric treatment units set up by the British army and had been opened in December 1916 as a result of the manpower crisis which followed the Somme offensive. NYDN (not yet diagnosed, neuropsychiatric) centres were set up by the RAF during World War Two to assess and treat aircrew who had lost the confidence of their commanding officers and who were suspected of exhibiting lack of moral fibre.

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